Kamille Nikole Killingbeck, PT, DPT, PTRP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4876 Issued in NV

Practice address

8020 W Sahara Ave Ste 160
Las Vegas, NV 89117-7917

Phone

(702) 595-5437

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kamille Nikole Hueysuwan Florido Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279

  Physical Therapist

  Medicare reassignment NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD
• Center for Autism & Related Disorders, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1184384893
  NPD (past)
• Motivated Kids Therapy LLC

  • Pediatric Occupational Therapist
  • Las Vegas, NV
  • NPI 1215351473
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1871251116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 W SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 W SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177917",
            "telephone_number": "702-595-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10587 Double R Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895218966",
            "country_code": "US",
            "telephone_number": "702-720-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8910 W Tropicana Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478131",
            "country_code": "US",
            "telephone_number": "702-292-2596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLINGBECK",
        "first_name": "KAMILLE",
        "middle_name": "NIKOLE",
        "credential": "PT, DPT, PTRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMILLE NIKOLE",
            "last_name": "FLORIDO",
            "middle_name": "HUEYSUWAN",
            "credential": "PT, DPT, PTRP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Kilian
• Kyle W Killebrew
• Randi Killeen
• Keith Killian
• Zhanna Killian, NP
• Antoiniece Killingsworth
• Sherrie Ann Killion-Kuzmanovic
• Brea Killion
• Marion Killough
• Corey Killpack

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.